Lectures on the American eclectic system of surgery . Fig. * I recently had an otherwise extraordinary case brought to me from thecountry, in which both the acromion and end of the clavicle were severed. Itwas an infant, the damage having been done by the accoucheur in bringingdown the arm after turning. 648 PARTICULAR FRACTURES OF THE HEAD AND TRUNK. along the edge of the bone from the sternum, will readily showthe point and direction of the split. A considerable tumoroften forms at the place. ISTot unfrequently a spicula of bonewill be found protruding through the skin, constituting the
Lectures on the American eclectic system of surgery . Fig. * I recently had an otherwise extraordinary case brought to me from thecountry, in which both the acromion and end of the clavicle were severed. Itwas an infant, the damage having been done by the accoucheur in bringingdown the arm after turning. 648 PARTICULAR FRACTURES OF THE HEAD AND TRUNK. along the edge of the bone from the sternum, will readily showthe point and direction of the split. A considerable tumoroften forms at the place. ISTot unfrequently a spicula of bonewill be found protruding through the skin, constituting thecase one of compound fracture. Crepitus occurs in movingthe shoulder, which is drawn forward and inward by the con-traction of the pectoral muscles. In adjusting this case, the surgeon stands behind the patientand puts his knee between the shoulders, drawing them bothback until the parts of the broken clavicle have necessarilyassumed their proper position. The shoulders are to be keptback, and the arms down by suitable apparatus. Before apply-ing the clavicle
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectgeneralsurgery, booky
